Individual
MATTHEW E. SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2003022259
MO
207RN0300X
Nephrology Physician
Primary
M5487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190568901
—
TX
01
—
P00457063
MEDICARE RAILROAD
TX
Enumeration date
04/19/2006
Last updated
08/19/2021
Update your record
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